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[quote=Anonymous]Patient is an adult and therefore doctor is bound by confidentiality. I suspect that speaking to patient's mom was intended to gather collateral data and a family medical/psych history, but given that patient is an adult, that information should have been requested from patient, or patient should have been asked to consent to mom being consulted.

Aside from that issue, doctor is assessing patient's current functioning and identifying barriers to treatment as well as support systems currently in place. As a mental health worker (but not a psychiatrist), I would not be willing to make a diagnosis and recommend medication in the first appointment absent a history of medication treatment. If a patient came to me and said that they needed medication to help manage what they believe is OCD and had taken medication for that in the past, I might be inclined to recommend a short-term course of something, but without a more qualitative interview about symptoms and an actual diagnosis, I would not be willing to recommend medication without further consultation.[/quote]

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